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Individual

JEFFREY S CARITHERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
Primary
23944
IA
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
23944
IA
2082S0099X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
23944
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0244368
IA
Enumeration date
07/07/2005
Last updated
08/23/2007
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